CENTRAL WYOMING NEUROLOGY LLC NPI 1386672996

NPI Information

CENTRAL WYOMING NEUROLOGY, LLC is a specialist in Casper, WY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL WYOMING NEUROLOGY, LLC NPI is 1386672996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5820 E.2ND ST.
CASPER, WY
ZIP 82609-308
Phone: (307) 234-9037
Fax: (307) 234-9042

The provider's authorized official is Angelo M. Santiago .
The authorized official title is Owner and has the following contact phone number (307) 234-9037.

The CLIA number assigned to this NPI record is 53D0954636 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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